Orbital cavernous haemangioma - extra conal

Case contributed by A.Prof Frank Gaillard
Modality: MRI

MRI of the orbits with contrast demonstrates a well circumscribed rounded mass located in the superior medial quadrant in the extraconal space. The mass is intermediate in T1 signal and high signal on T2 weighted images. Contrast enhanced sequences demonstrates gradual and complete enhancement.

The last obtained sequence is the non-fat suppressed axial T1 image (image 4) also demonstrate lovely chemical shift artefact at the edges between the mass and the orbital fat.

Features are characteristic of an orbital haemangioma.

Case Discussion

MRI of the orbits with contrast demonstrates a well circumscribed rounded mass located in the superior medial quadrant in the extraconal space. The mass is intermediate in T1 signal and high signal on T2 weighted images. Contrast-enhanced sequences demonstrate gradual and complete enhancement.

The last obtained sequence is the non-fat suppressed axial T1 image also demonstrate lovely chemical shift artefact at the edges between the mass and the orbital fat.

Features are characteristic of an orbital haemangioma. The mass was excised and diagnosis confirmed on histology.

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Case Information

rID: 5347
Case created: 6th Jan 2009
Last edited: 31st Mar 2017
Tag: orbit
Inclusion in quiz mode: Included

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